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NUR 114 Exam #2 / Intrapartum and Newborn Care
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NUR 114 Exam #2 / Intrapartum and Newborn Care
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NUR 114 Exam #2 / Intrapartum andNewborn Care
it is suggested that the _____________ ratio initiates labor CORRECT ANSWERS estrogen to progesterone
true/false - the number of oxytocin receptors in the uterus increases at the end of pregnancy CORRECT ANSWERS true
fetal __________ levels synthesize prostaglandins CORRECT ANSWERS cortisol
Prostaglandins lead to which of the following? SATA: A. additional contractions B. cervical softening C. gap junction induction D. myometrial sensitization
E. progressive cervical constriction CORRECT ANSWERS A, B, C, D prostaglandins lead to progressive cervical *dilation*
true/false - premonitory s/s of labor can vary and not every woman experiences every one of them CORRECT ANSWERS true
Of the following, which are premonitory signs of labor? SATA: A. cervical changes B. passageway C. Lightening D. Increased energy levels E. Bloody show F. Braxton Hicks contractions G. Spontaneous Rupture of membranes CORRECT ANSWERS A, C, D, E, F, G
*passageway is a part of the 5 p's that affect the labor process*
cervical changes occur 1 month to 1 hour before? CORRECT ANSWERS actual labor begins
ripening and softening of the cervix are essential for? CORRECT ANSWERS effacement and dilation
Define lightening CORRECT ANSWERS the fetal presenting part begins to descend into the true pelvis an increase in energy levels usually occurs how long before the onset of labor? CORRECT ANSWERS 24-48 hours *thought to be the result of an increase in epi release caused by a decrease in progesterone*
at the onset of labor or before, the mucous plug that fills the cervical canal during pregnancy is expelled. This is known as? CORRECT ANSWERS bloody show
these contractions are typically felt as a tightening or pulling sensation of the top of the uterus CORRECT ANSWERS Braxton Hicks
true labor contractions are more commonly felt in the? CORRECT ANSWERS lower back
Braxton Hicks contractions usually last how long? CORRECT ANSWERS about 30 seconds but can last as long as 2 minutes.
true/false - the rupture of membranes can result in either a sudden gush or a steady leakage of amniotic fluid CORRECT ANSWERS true
with false labor, irregular uterine contractions are felt, but the cervix is not? CORRECT ANSWERS affected. There is no cervical change with false labor
name some characteristics of true labor. CORRECT ANSWERS - cervical change and effacement occur
- contractions occuring in regular intervals
- become stronger with time - starts in the back and radiates to front of abdomen - contractions continue despite position change
name some characteristics of false labor. CORRECT ANSWERS - irregular
- frequently weak and not getting stronger with time or alternating - usually felt in the front of the abdomen - contractions may stop or slow down with walking or position change - no cervical change
with true labor, when should the mother go to the hospital? CORRECT ANSWERS stay home until contractions are *5 minutes apart, last 45-60 seconds, and are strong enough so that a conversation during one is not possible*
with false labor when should the mother go to the hospital? CORRECT ANSWERS drink fluids and walk around to see if there is any change in the intensity. If there is a *diminish in intensity, stay home*
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